Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558379651 Individual Practitioner Female Practitioner

Dr. Kathleen R Black , DDS

Dentist - General Practice • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Black, DDS is a registered healthcare professional specializing in Dentist - General Practice in Houston, TX. Practice services are available at 1415 CALIFORNIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 California St

Houston, TX 770062602

Telephone 8325485000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1389 Specialists

Practicing in Houston, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 19090

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id #
20-2421646 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Teandra Gordon , LMFT

Marriage & Family Therapist

NPI 1003186164

Licensed Marriage and Family Therapist

Debbie Pren , FNP

Nurse Practitioner - Family

NPI 1003316258

Family Nurse Practitioner

Anisleidys Rivero , LPC

Counselor - Professional

NPI 1003449281

Licensed Professional Counselor

NPI 1003827619

Doctor of Dental Surgery

Monica Salinas-Osuna

Social Worker - Clinical

NPI 1013494475
Roxann Rodriguez , LCSW

Social Worker - Clinical

NPI 1013675511

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 1415 CALIFORNIA ST, HOUSTON, TX 770062602 (Tel: 8325485000)

📍
Updated Business Mailing Address February 05, 2018

Registered at PO BOX 66308, HOUSTON, TX 772666308 (Tel: 8325485000)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as KATHLEEN BLACK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Dentist (License #19090 in TX)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8190 BARKER CYPRESS RD, SUITE 200, CYPRESS, TX 774331220 (Tel: 2813456540)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13834 PICKFORD KNOLLS DR., HOUSTON, TX 77041 (Tel: 2814698882)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN BLACK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19090 in TX)

🟢
Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558379651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: February 05, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 66308

Houston, TX 772666308

Phone: 8325485000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.